Veremle Sava\u015f Haftas\u0131\u2019na \u00f6zel a\u00e7\u0131klamalarda bulunan Medicana Sa\u011fl\u0131k Grubu G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Merda Erdemir I\u015f\u0131k, t\u00fcberk\u00fclozun d\u00fcnya \u00e7ap\u0131nda en bula\u015f\u0131c\u0131 ve \u00f6l\u00fcmle sonu\u00e7lanan hastal\u0131k oldu\u011funu s\u00f6yledi. Kapal\u0131 ve kalabal\u0131k yerlerde bulunanlarla kronik hastal\u0131\u011f\u0131 olanlar\u0131n risk alt\u0131nda oldu\u011funu ifade eden Uzm. Dr. Merda Erdemir I\u015f\u0131k, \u201cVeremin ila\u00e7la tedavisi m\u00fcmk\u00fcn ancak yine de dikkatli olunmas\u0131 gerekiyor. \u0130la\u00e7lar\u0131n d\u00fczenli kullan\u0131m\u0131nda 6 ila 9 ayda iyile\u015fme sa\u011flanmaktad\u0131r. \u0130la\u00e7 kullan\u0131m\u0131n\u0131n aksat\u0131lmas\u0131 ise verem mikrobunun diren\u00e7 kazanmas\u0131na ve iyile\u015fme s\u00fcrecinin zorla\u015fmas\u0131na neden olmaktad\u0131r\u201d dedi.
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Birle\u015fmi\u015f Milletler (BM) ve D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn (DS\u00d6) 2030 y\u0131l\u0131na kadar t\u00fcberk\u00fclozu sona erdirme hedefini hat\u0131rlatan Medicana International \u0130zmir Hastanesi G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 Uzman\u0131 Dr. Merda Erdemir I\u015f\u0131k, \u201cT\u00fcberk\u00fcloz, zaman\u0131nda \u00e7ok \u00f6l\u00fcmc\u00fcl seyretmi\u015f bir hastal\u0131k. Bug\u00fcn de tedavisi olmas\u0131na ra\u011fmen bula\u015f\u0131c\u0131 hastal\u0131klar aras\u0131nda en s\u0131k \u00f6l\u00fcme sebep olan hastal\u0131klardan birisi. En s\u0131k akci\u011ferleri tutuyor. B\u00f6brekte, kemikte ya da lenf bezlerinde de g\u00f6rebiliyoruz. Ancak solunum yoluyla \u00e7ok daha s\u0131k bula\u015f\u0131 oluyor. Bu y\u00fczden akci\u011fer t\u00fcberk\u00fclozu genelde daha s\u0131k rastlad\u0131\u011f\u0131m\u0131z t\u00fcberk\u00fcloz t\u00fcr\u00fcd\u00fcr\u201d ifadelerini kulland\u0131.<\/p>\n
2023 y\u0131l\u0131nda COVID-19\u2019u geride b\u0131rakt\u0131
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DS\u00d6 taraf\u0131ndan yay\u0131mlanan 2023 K\u00fcresel T\u00fcberk\u00fcloz Raporu\u2019na g\u00f6re 2022 y\u0131l\u0131nda d\u00fcnya genelinde 7.5 milyon yeni t\u00fcberk\u00fcloz (verem) vakas\u0131 kaydedildi\u011fini, bu say\u0131n\u0131n 2023 y\u0131l\u0131nda 8.2 milyona y\u00fckseldi\u011fini ifade eden Uzm. Dr. Merda Erdemir I\u015f\u0131k, \u201c2023, DS\u00d6\u2019n\u00fcn 1995\u2019te k\u00fcresel t\u00fcberk\u00fcloz izleme \u00e7al\u0131\u015fmalar\u0131na ba\u015flad\u0131\u011f\u0131ndan bu yana bildirilen en y\u00fcksek vaka say\u0131s\u0131n\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc y\u0131l oldu. T\u00fcberk\u00fcloz, COVID-19\u2019u geride b\u0131rakarak yeniden en \u00f6ld\u00fcr\u00fcc\u00fc bula\u015f\u0131c\u0131 hastal\u0131k haline geldi. T\u00fcrkiye\u2019deki t\u00fcberk\u00fcloz vakalar\u0131nda da benzer bir e\u011filim s\u00f6z konusu. Verem Sava\u015f Raporu\u2019na g\u00f6re 2019 y\u0131l\u0131nda 11 bin 401 vaka kaydedilirken, 2020 y\u0131l\u0131nda bu say\u0131 COVID-19 pandemisinin de etkisiyle 8 bin 925\u2019e d\u00fc\u015ft\u00fc. DS\u00d6\u2019n\u00fcn 2023 raporuna g\u00f6re, 2022 y\u0131l\u0131nda T\u00fcrkiye\u2019den bildirilen yeni veya tekrarlayan vaka say\u0131s\u0131 9 bin 723 oldu. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, T\u00fcrkiye\u2019nin de i\u00e7inde bulundu\u011fu DS\u00d6 Avrupa B\u00f6lgesi\u2019nde 2015 y\u0131l\u0131na k\u0131yasla t\u00fcberk\u00fcloz s\u0131kl\u0131\u011f\u0131n\u0131n y\u00fczde 80, \u00f6l\u00fcmlerin ise y\u00fczde 90 azalt\u0131lmas\u0131n\u0131n hedeflendi\u011fini a\u00e7\u0131klad\u0131\u201d dedi.<\/p>\n
Kalabal\u0131k ortamlarda bula\u015f riski y\u00fcksek
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Kapal\u0131 ve kalabal\u0131k yerlerde \u00e7al\u0131\u015fan ya da ya\u015fayanlar\u0131n y\u00fcksek risk alt\u0131nda oldu\u011funu belirten Uzm. Dr. Merda Erdemir I\u015f\u0131k, risk alt\u0131ndaki gruplar\u0131 \u015f\u00f6yle s\u0131ralad\u0131: \u201cHastalarla s\u00fcrekli birarada bulunan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 da bu noktada b\u00fcy\u00fck bir risk alt\u0131nda. Bunun d\u0131\u015f\u0131nda hapishanelerde ya\u015fayan ya da ya\u015fl\u0131 bak\u0131mevlerinde ve huzurevlerinde kalanlar, toplu yerlerde ya\u015fayanlar risk alt\u0131nda say\u0131labilir. Ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 bask\u0131lanm\u0131\u015f HIV\/AIDS hastalar\u0131, organ nakli yap\u0131lan hastalar, kanser hastalar\u0131, kronik hastal\u0131\u011f\u0131 olanlar, yetersiz beslenenler ve sosyo ekonomik durumu d\u00fc\u015f\u00fck olanlar, sigara i\u00e7enler ve madde ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 olanlar, kortikosteroid veya di\u011fer ba\u011f\u0131\u015f\u0131kl\u0131k bask\u0131lay\u0131c\u0131 ila\u00e7lar kullananlar, t\u00fcberk\u00fclozlu biriyle yak\u0131n temasta bulunanlar ile t\u00fcberk\u00fclozun yayg\u0131n oldu\u011fu b\u00f6lgelerde ya\u015fayanlar veya seyahat edenler riskli grup aras\u0131nda say\u0131labilir. Verem riski alt\u0131nda olan ki\u015filerin d\u00fczenli sa\u011fl\u0131k kontrolleri yapt\u0131rmas\u0131 ve koruyucu \u00f6nlemlerin al\u0131nmas\u0131 \u00e7ok \u00f6nemlidir.\u201d<\/p>\n
D\u00fczenli ila\u00e7 kullan\u0131m\u0131 \u00f6nem ta\u015f\u0131yor
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Akci\u011fer t\u00fcberk\u00fclozunun en s\u0131k g\u00f6r\u00fclen belirtisinin \u00f6ks\u00fcr\u00fck ve kanl\u0131 balgam oldu\u011funu hat\u0131rlatan Uzm. Dr. Merda Erdemir I\u015f\u0131k, \u201cAte\u015f, gece terlemesi, kilo kayb\u0131, halsizlik ve yorgunluk di\u011fer \u015fikayetler aras\u0131nda say\u0131l\u0131r. Tan\u0131y\u0131 koymak i\u00e7in genelde akci\u011fer grafisine bak\u0131lmaktad\u0131r. \u00c7\u00fcnk\u00fc \u00e7ok tipik akci\u011fer r\u00f6ntgen bulgular\u0131 vard\u0131r. Balgam k\u00fclt\u00fcr\u00fcnde verem mikrobuna rastlanabilir. Bu mikrobun g\u00f6r\u00fclmesiyle de tan\u0131 konur. Balgam k\u00fclt\u00fcr\u00fc veremeyen hastalardan ise \u00f6rnek al\u0131nmaktad\u0131r. Akci\u011ferlerin endoskopik olarak g\u00f6r\u00fcnt\u00fclenip, oradan \u00f6rnekler al\u0131n\u0131p o \u015fekilde tan\u0131 koymak gerekebilir\u201d diye konu\u015ftu. Uzm. Dr. Merda Erdemir I\u015f\u0131k, hastalar\u0131n Verem Sava\u015f dispanserlerine y\u00f6nlendirildi\u011fini ifade ederek; genelde 6-9 ayl\u0131k tedaviler sonucunda hastalar\u0131n sa\u011fl\u0131klar\u0131na kavu\u015ftuklar\u0131n\u0131, ila\u00e7lar\u0131n d\u00fczenli \u015fekilde kullan\u0131lmas\u0131n\u0131n \u00f6nemli oldu\u011funu anlatt\u0131. \u0130la\u00e7 kullan\u0131m\u0131n\u0131 aksatman\u0131n verem mikrobuna diren\u00e7 kazand\u0131rd\u0131\u011f\u0131n\u0131 vurgulayan Uzm. Dr. Merda Erdemir I\u015f\u0131k, \u201cT\u00fcberk\u00fclozun tek tedavisi ila\u00e7. Diren\u00e7 geli\u015ftirenlerde farkl\u0131 antibiyotik tedavilerine ge\u00e7ilir\u201d dedi.<\/p>\n
\u00c7ocuklara verem a\u015f\u0131s\u0131 yapt\u0131r\u0131lmal\u0131
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Uzm. Dr. Merda Erdemir I\u015f\u0131k, t\u00fcberk\u00fclozdan korunma y\u00f6ntemlerini ise \u015f\u00f6yle anlatt\u0131: \u201cVerem a\u015f\u0131s\u0131 mutlaka \u00f6nerilmektedir. Zorunlu a\u015f\u0131 takviminin i\u00e7inde verem a\u015f\u0131s\u0131 da yer almaktad\u0131r. Onun d\u0131\u015f\u0131nda risk alt\u0131nda olan ki\u015filerin d\u00fczenli kontrol olmas\u0131 gerekiyor. Ajan tedavileri alan hastalar \u00fc\u00e7 ayda bir kontrol edilmektedir. Kalabal\u0131k ve kapal\u0131 ortamlarda mutlaka maske tak\u0131p \u00e7ok yak\u0131n temaslardan korunmak laz\u0131m. Ayn\u0131 zamanda verem hastal\u0131\u011f\u0131 g\u00fcne\u015fi sevmez. Bu hastalar\u0131n\u0131n tedavi g\u00f6rd\u00fc\u011f\u00fc odalarda ultraviyole \u0131\u015f\u0131nlar, lambalar kullan\u0131l\u0131r. \u2018G\u00fcne\u015f girmeyen eve doktor girer\u2019 s\u00f6z\u00fc de veremden dolay\u0131 s\u00f6ylenmi\u015ftir.\u201d
<\/p>\n","protected":false},"excerpt":{"rendered":"
Veremle Sava\u015f Haftas\u0131\u2019na \u00f6zel a\u00e7\u0131klamalarda bulunan Medicana Sa\u011fl\u0131k Grubu G\u00f6\u011f\u00fcs Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uzm. Dr. Merda Erdemir I\u015f\u0131k, t\u00fcberk\u00fclozun d\u00fcnya \u00e7ap\u0131nda en bula\u015f\u0131c\u0131 ve \u00f6l\u00fcmle sonu\u00e7lanan hastal\u0131k oldu\u011funu s\u00f6yledi. Kapal\u0131 ve kalabal\u0131k yerlerde bulunanlarla kronik hastal\u0131\u011f\u0131 olanlar\u0131n risk alt\u0131nda oldu\u011funu ifade eden Uzm. Dr. Merda Erdemir I\u015f\u0131k, \u201cVeremin ila\u00e7la tedavisi m\u00fcmk\u00fcn ancak yine de dikkatli olunmas\u0131…<\/p>\n","protected":false},"author":1,"featured_media":6092,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-6091","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/6091","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6091"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/6091\/revisions"}],"predecessor-version":[{"id":6093,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/6091\/revisions\/6093"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/6092"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6091"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}